Abstract
Primary Right External Iliac Artery to Small Bowel Fistula Treated with Endovascular Graft
Highlights
An arterio-enteric fistula (AEF) is an aberrant connection between the gastrointestinal tract and an artery
It was suspected that the tumor had eroded into the small bowel and the right external iliac artery forming an arterio-enteric fistula with significant active arterial bleeding
The patient was taking to the angiography suite and a 7mmx45mm covered stent was placed in the right external iliac artery, occluding the area of active extravasation
Summary
An arterio-enteric fistula (AEF) is an aberrant connection between the gastrointestinal tract and an artery. A secondary AEF develops as a repercussion of surgical intervention [2] This is a case of primary arterio-enteric fistula in a 65-year-old female with bladder cancer who had undergone chemoradiotherapy. This is a 65-year-old female with history of recurrent mixed histology high grade urothelial carcinoma and small cell carcinoma of the bladder on chemotherapy with carboplatin and Gemzar, prior radiation therapy, and a right lower extremity deep vein thrombosis on Xarelto who presented with lower abdominal pain and a gastrointestinal bleed. The abdominal pain began that morning and was sharp and colicky in nature She felt the urge to have a bowel movement and upon doing so, passed blood per rectum. Increasing amounts of blood was noted as the scope was advanced proximal until visualization was complete obscured and the scope was removed
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
